Cervical brachial syndrome: causes, symptoms, treatment, prevention
Cervical-brachial syndrome, as a result of degenerative disc disease
Under the neck-shoulder syndrome is a set of syndromes neurological orientation, which have different causes and development are accompanied by disorders and pain in the cervical region, in the area of shoulder girdle and upper extremities.
Most often this disease develops in people aged 30 to 50 years.
The main causes of
Neck shoulder syndrome is manifested as a result of osteoarthritis the intervertebral discs in the region of the fourth and fifth cervical vertebrae.
Pain in this area occur as a result of compression of nerve endings and blood vessels of the anterior scalene muscle.
During pain reflex reduced muscle of the forearm, there are limitations in joint mobility and stiffness.
The main reasons causing the development of this syndrome include:
- muscular injuries to the neck or shoulder area, shoulder dislocation, fracture or dislocation of the clavicle;
- degenerative changes or inflammatory processes of the cervical spine, accompanied by the defeat of the cervical vertebrae;
- occupational diseases due to the constant tension of the upper extremities and spine (plasterers, turners, painters);
- congenital abnormality in the shoulder region that causes compression of the nerve endings.
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The group cervical-brachial syndrome include:
- Cervical lumbago. It is characterized by pain in the neck, nape and forearms. The pain may be sharp and constant aching. Pain can increase due to the movement of the neck, and finding the body in a stationary state for a long time.
- Syndrome «shoulder-brush». Is increased temperature of the skin of the hand and wrist, limitation of motion of the fingers, edema, disturbance in the secretion of sweat.
- Elbow periarthrosis. Degeneration of the tendons of the elbow joints and muscle tissues that are attached to the shoulder. Sharp and burning pain occur when bending arms at the elbow.
- Humeroscapular periarthrosis. Is characterized by degeneration of the muscles, ligaments and tendons of the shoulder girdle. Pain have a sudden character in the shoulder joints, neck and upper limbs, growing the movement. In this case, the joint has limitations in mobility.
The emergence of joint pain for no reason is the first signal of disease progression and the need for an immediate referral to a health facility.
Diagnosis of the syndrome by the attending physician on the basis of complaints of the patient and study the history of his illness (the presence of injuries or diseases).
Very often patients have a characteristic posture: the disturbing shoulder pressed against his chest, and the joints rigid.
In addition may experience swelling and darkening of the skin brush, the hand becomes more sensitive. The doctor identifies the presence of pain on palpation at the points of the cervical spine and foci.
The next step for diagnosis is the direction of the patient to x-ray examination or CT scan. If necessary, can be carried out analysis of cerebrospinal fluid.
How to assist the patient
In the case of the attacks of acute pain should provide first aid.
Reducing tension in spine and upper limbs is achieved by fixing the bent elbow of the hand with scarves. Should also drink pain relievers (e.g., aminopyrine or dipyrone).
In the period of acute illness it is recommended that the presence of the limb in a state of complete rest. The hospital can splint for fixation. Appointed anti-inflammatory and pain medications.
Reduction of pain can be achieved also by a light massage and medical gymnastics.
The favorable impact of physiotherapy treatments, including application of ultrasound to the cervical region and electrophoresis.
It often happens that the therapeutic treatment methods held within three months and provide an opportunity to halt the destructive processes in the spine and remove the pain of neck shoulder syndrome.
Indications for surgical intervention
Upon further compression of the brachial plexus and the failure of conservative treatment, doctors must resort to surgery, which may cause a destructive dissection of the scalene muscle, the removal of a herniated disc or additional ribs.
There are cases when the development of neck-shoulder syndrome were able to stop the people’s ways.
However, in order not to harm their own health, any method of self-medication should be discussed with your doctor.
There are several ways of alternative treatment:
- A decoction of the plant. Use the roots of dandelion, coriander, birch buds and mint leaves. All components take in equal proportions and pour boiling water. The decoction will be ready in 60 minutes. The resulting liquid is rubbed into painful joints three times a day.
- Treatment with leeches involves complex procedures of the six sessions. Some patients may manifest side effect in the form of an allergic rash.
- Compress table fuck. The roots of the plant are finely ground and the mixture is superimposed on the sore joints.
- Rubbing the painful area with tincture of calendula. You can buy in a drugstore or to cook at home. To do this, 50 g of flowers pour 500 grams of vodka and infuse it for 14 days.
For suspension of the development of painful symptoms, and also prevent its occurrence in healthy people, you should regularly perform a number of simple rules:
- avoid emotional extremes and stress;
- to devote time to physical therapy, walking and swimming;
- to eliminate from your diet fatty, spicy and salty foods;
- avoiding harmful habits;
- in the case of even minor injuries should immediately contact the doctor.
Note that the treatment of neck-shoulder syndrome is quite complex, and therefore a positive result of the whole recovery process depends on the complexity of the disease, timely referral to a health facility, the diagnosis and the accuracy of diagnosis.
The most effective method of treatment complex, which includes not only methods of therapeutic or surgical intervention, but also folk remedies, physiotherapy and auxiliary therapy.